Remittance Advice Inquiry
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Forms, Links, and Information
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English - 014-0918-84e - Remittance Advice InquiryPDF
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French - 014-0918-84f - Remittance Advice InquiryPDF
Additional Information
| Form Number | 014-0918-84 |
|---|---|
| Title | Remittance Advice Inquiry |
| Description | Form used by physicians to make inquiries regarding payment details on Remittance Advice |